Organization Active NPI

Merit House LLC.

  • Assisted Living Facility
  • Toledo, OH
National Provider Identifier
1629532015
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MERIT HOUSE LLC.
Practice address
4645 Lewis Ave
Toledo, OH 43612-2336
Phone
(419) 478-5131
Fax
(419) 470-0043
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Jay Stone
Title
Administrator
Phone
(419) 478-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4645 Lewis Ave
Toledo, OH 43612-2336

Mailing address

4645 Lewis Ave
Toledo, OH 43612-2336
Phone (419) 478-5131

Other identifiers 1

IdentifierTypeStateIssuer
0112299MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1629532015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122336",
            "telephone_number": "419-478-5131",
            "fax_number": "419-470-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 LEWIS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122336",
            "telephone_number": "419-478-5131",
            "fax_number": "419-470-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HOUSE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-478-5131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.